Active NPI
Laura Rose Bolte, PH.D.
- Psychologist
- Ft Mitchell, KY
National Provider Identifier
1366493298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 129227
- Practice address
- 305 Artillery Park Dr Unit 102
Fort Mitchell, KY 41017-2794 - Phone
- (859) 426-0200
- Fax
- (859) 426-0042
- NPI assigned
- May 15, 2006
- Last updated
- Apr 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 129227 | KY | |
| Psychologist | 103T00000X | 129227 | KY | Primary |
Addresses
Primary practice location
305 Artillery Park Dr Unit 102
Fort Mitchell, KY 41017-2794
Mailing address
305 Artillery Park Dr Unit 102
Fort Mitchell, KY 41017-2794
Phone (859) 426-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129227 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolte Psychological Services, LLC | Clinical | Current | Accepting new patients |
| Suzanne M. James, Psy.D., LLC | Clinical | Past | Accepting new patients |
Locations
305 Artillery Park Dr
Unit 102
Ft Mitchell, KY 41017
Phone (859) 426-0200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Ft Mitchell, KY
- NPI 1245574912
-
- Clinical Psychologist
- Erlanger, KY
- NPI 1386899003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554681600000",
"number": "1366493298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 ARTILLERY PARK DR UNIT 102",
"city": "FORT MITCHELL",
"state": "KY",
"postal_code": "410172794",
"telephone_number": "859-426-0200",
"fax_number": "859-426-0042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 ARTILLERY PARK DR UNIT 102",
"city": "FORT MITCHELL",
"state": "KY",
"postal_code": "410172794",
"telephone_number": "859-426-0200",
"fax_number": "859-426-0042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTE",
"first_name": "LAURA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2019-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "129227",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "129227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft Mitchell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.